Dfs j1 1295-2026

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public deposit identification and acknowledgement form Preview on Page 1

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  1. Click ‘Get Form’ to open the dfs j1 1295 in the editor.
  2. Begin by filling out the 'Public Depositor Account Information' section. Specify the type of account (CD/other), and enter the account number and name.
  3. In the next field, provide your full name as it appears on the records of the Qualified Public Depository, along with your Federal Employer Identification Number (FEIN).
  4. Proceed to complete the 'Qualified Public Depository (QPD) Information' section. Enter the QPD’s full legal name, address, and FEIN.
  5. In the 'Public Deposit Identification' section, declare that your account meets public deposit definitions under Florida Statutes. Sign and date this section.
  6. Finally, for the 'Qualified Public Depository Acknowledgment', have an authorized representative sign and print their name and title, along with the date.

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